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Great Atlantic &pacific Tea Company Inc
Community/Retail Pharmacy in Boonton, New Jersey
NPI 1396760955

Great Atlantic &pacific Tea Company Inc is a Community/Retail Pharmacy based in Boston, NJ and is specialized in Community/Retail Pharmacy. Great Atlantic &pacific Tea Company Inc practices in Boonton, NJ. The NPI Number for Great Atlantic &pacific Tea Company Inc is 1396760955 and holds a License No. 05786 (New Jersey).

The current practice location address for Great Atlantic &pacific Tea Company Inc is 550 Myrtle Ave, Boonton, NJ and can be reached out via phone at 973-394-9580 and via fax at 973-394-9588.

Location: 550 Myrtle Ave, Boonton, NJ, 02241-6369
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396760955
Provider Name
Great Atlantic &pacific Tea Company Inc
Credential
Provider Entity Type
Organization
Address
550 Myrtle Ave, Boonton, NJ, 02241-6369
Phone Number
973-394-9580
Fax Number
973-394-9588
Provider Enumeration Date
07/13/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3141657 01 OTHER ID NUMBER-COMMERCIAL NUMBER
8140111 01 NJ MEDICAID DME
8140103 05 NJ
institution
Provider Business Practice Location Address Details
Address
550 Myrtle Ave
City
Boonton
State
New Jersey
Zip
07005-1914
Phone Number
973-394-9580
Fax Number
973-394-9588
person
Provider Business Mailing Address Details
Address
550 Myrtle Ave
City
Boonton
State
New Jersey
Zip
07005-1914
Phone Number
973-394-9580
Fax Number
973-394-9588
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
05786 (New Jersey)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
05786 (New Jersey)
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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